| NPI | 1205279031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J MCMAHON Owner 718-801-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 184477) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-26 |